tag:blogger.com,1999:blog-1241355397456348623.post2026166688774710017..comments2017-12-17T06:18:24.210-05:00Comments on Hootsbuddy's New Place: Morning Reading -- April 3Johnhttp://www.blogger.com/profile/11858939352263715787noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-1241355397456348623.post-25928625138090250272013-04-03T12:05:44.069-04:002013-04-03T12:05:44.069-04:00Great snip from Maggie Mahar&#39;s post...
&quot;...Great snip from Maggie Mahar&#39;s post...<br /><br /><i>&quot;Doctors say that they are worried about patient safety. “I see it as physicians being true to their oath “ Dr. Adris Hoven, president-elect of the American Medical Association recently told Marketplace Health Care’s Dan Gorenstein. Hoven insists that doctors are “not threatened” by NPs. “At the end of the day what they want to do is deliver the best healthcare possible.” <br /><br />Dr. John Rowe, a professor of Health Policy and Management at Columbia’s School of Public Health, doesn’t buy the argument. As he points out, nurse practitioners are already working without primary care doctors: “The fact is this is going on in 16-17 states,” he told Gorenstein, “and there is no evidence that it’s not good for the patient.” A recent Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation backs him up: “studies comparing the quality of care provided by physicians and nurse practitioners have found that clinical outcomes are similar.”<br /><br />At the same time, Rowe understands why doctors are uncomfortable. “The physicians feel they have something special to offer,” he explains. “And being told there are individuals who are less well trained can do it as well as they could is a very difficult lesson for them.” <br /><br />When I last wrote about nurse practitioners, back in 2010, one physician/reader (“Sharon M.D.”) was exceptionally candid on this point:<br /><br /> “I think there’s enough work for all of us in primary care,” she wrote,” and I think NPs and PAs are vital to meeting the demand.” But, she added: “I do find myself pushing back against the idea that an NP is as qualified as I am to care for patients, but that mostly comes from me wondering why I went through 4 years of medical school and 3 grueling years of residency if I’m no better at my job than someone with far fewer training hours. But it doesn’t come from any reasoned perspective: it’s mostly jealousy for all those years lost. . . . and all that debt yet to be repaid!&quot;</i><br /><br />Here&#39;s the link to the Sharon, MD comment:<br />http://www.healthbeatblog.com/2010/04/hey-nursie-the-battle-over-letting-nurse-practitioners-provide-primary-care/#comment-3491Johnhttps://www.blogger.com/profile/11858939352263715787noreply@blogger.com